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Eur J Cardiothorac Surg 2001;20:1255-1257
© 2001 Elsevier Science NL

Case report

Surgical management of a gigantic circumflex coronary artery aneurysm with fistulous connection to the coronary sinus

^a Bristol Heart Institute, University of Bristol, Bristol Royal Infirmary, Bristol BS2 8HW, UK
^b St Clare Medical Centre, Port of Spain, Trinidad and Tobago

Received 23 April 2001; received in revised form 3 September 2001; accepted 3 September 2001.

Corresponding author. Tel.: +44-117-928-3145; fax: +44-117-929-9737
e-mail: g.d.angelini{at}bristol.ac.uk

We report the successful management of a gigantic circumflex coronary artery aneurysm with fistulisation into the coronary sinus. Transoesophageal echocardiography allowed continuous visualisation of ventricular wall motion during dissection and closure of the aneurysm whilst operating on cardiopulmonary bypass on the beating heart.

Key Words: Coronary artery surgery • Circumflex coronary artery • Aneurysm • Coronary sinus • Fistula • Transoesophageal echocardiography

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